Student Enrollment

To enroll in your school trip, please fill out this form together with a parent at least 30 days before the trip begins. Click submit, and you’re all set! Your teacher will pass on a packing list. We’ll call about a week before you arrive to say hello, answer any last minute questions, and welcome you to our program. We’re excited to meet you! If you have questions along the way, feel free to contact us.

Our Terms and Conditions- PLEASE DO READ THIS INFORMATION CAREFULLY!

To the student and parent/guardian: Please E-sign below to acknowledge that you understand and agree with our policies. Your understanding and acceptance of this information is crucial to the success of our program. We appreciate your time in reading this thoroughly!

Student Expectations

Students should be excited to join our courses. They should not be sent against their will. Every student is expected to be positive, motivated and physically fit, with strong behavior and group skills. Students have very little free or personal time and are busy most of the day. Students are expected to participate enthusiastically in all our trips' activities and to shoulder trip responsibilities with a positive attitude. Student responsibilities include cooking group meals, cleaning equipment, setting up camp, teaching simple lessons, and more.
Our courses are physically, mentally and emotionally challenging, but well within the ability range of most students who desire to participate. We make every effort to ensure applicants are capable of successfully completing our courses. Ultimately, it is the responsibility of the parent/guardian to assess the appropriateness of this program for their child.

Communication

In an effort to build a sense of independence, self reliance and focus, we keep student/parent phone calls to a minimum. Student cell phones will be collected upon arrival. In case of emergency, parents may call our office 24/7 (808-775-8155). If an important situation arises and a student or instructor needs to speak with the parents, we will make sure that happens as soon as possible.

Personal Electronics

In an effort to eliminate distractions among the group and to promote engagement in all activities, personal electronics, such as iPods, video game devices, and cell phones are not allowed on any of our courses. Upon arrival, the course instructors will collect all cell phones to be stored in a safe location. They will be returned upon departure.

Alcohol / Tobacco / Drug use

The use or possession of any form of alcohol, tobacco or illegal drug will result in an immediate return home at the family's expense and without refund. We have a zero tolerance policy for this and no second chances will be given.

Exclusive Relationships

Any excessive touching or intimate relations are not permitted on a Hawaii Outdoors course. Should a student severely violate this rule they may be sent home at their own expense and without refund.

Behavioral Issues

Respect and cooperation are essential to creating a positive group dynamic and having a successful trip experience. A negative attitude, disruptive behavior of any kind or disrespectful behavior towards the leaders or other participants will not be tolerated. Parents will be contacted if issues arise. Should behavioral issues affect other students, leaders or the trip as a whole, the student may be sent home at the family's expense and without refund.

***We have strict rules to ensure a positive experience for all. In the rare occasion that any of the above policies are violated, parents will be contacted as soon as possible to discuss the issue. We strongly encourage parents to discuss these issues with their children prior to their trip so everyone is aware of the consequesces of violating Hawaii Outdoors Institute policies.

Alterations to Itinerary

Our intention is to follow as precisely as possible the itineraries described on our website. Dangerous weather or any other unforeseen problems may necessitate an itinerary change. If an activity is canceled for any reason, we will do our best to replace it with a similar one.

Model Release

Pictures and or video may be taken of the student to be used in Hawaii Outdoors Institute materials in print and online. The parent/guardian and student does herewith authorize and agree to the reasonable and proper use by Hawaii Outdoors of any and all photographs and video which may be taken of any aspect of the program and which may include the image of the student.

Cancellation Refund Policy

We require a non-refundable deposit upon enrollment. The remaining balance is due 30 days before the course start date. If a student pays in full and withdraws prior to 30 days before the course begins, a refund minus the deposit will be given. If a student withdraws with fewer than 30 days before the course, for any reason, no refunds will be given. If a student is sent home while on course for health or disciplinary reasons, no refunds will be given and the parents/guardians will be responsible for all transportation charges. If a student application or medical form is not accepted by Hawaii Outdoors Institute, a 100% refund will be given.

Hawai'i Outdoors Institute Agreement

I am / my son or daughter is enthusiastic about participating in the course. We understand that an enjoyable and fulfilling experience with Hawaii Outdoors depends on a positive attitude, on a willingness to contribute to the whole group, and on a willingness to participate enthusiastically in the course activities. We understand that disruptive behavior, exclusive relationships, or the use or possession of any form of alcohol, tobacco or illegal drug will result in an immediate return home, at my own expense and without refund. We have read, understand and agree to abide by all Hawai'i Outdoors Institute terms and conditions as stated in this application. I understand that my use of an E-Signature is legally binding.

Parent / Guardian E-Signature*

Please sign with a mouse, touch pad, or touch screen.

Date*

Date Format: MM slash DD slash YYYY

Student E-Signature*

Please sign with a mouse, touch pad, or touch screen.

Date*

Date Format: MM slash DD slash YYYY

Outdoor Education Program Waiver

I recognize that I or my dependent will be involved in outdoor activities on a course offered by Hawaii Outdoors Institute. Major activities involved in this trip may include camping, hiking, backpacking, farming, gardening, sea kayaking, sailing, snorkeling, SCUBA Diving, ocean swimming, surfing, obstacle courses as well as a variety of team building or leadership games and challenges. Hawaii Outdoors programs are strenuous outdoor adventures lasting up to 24 days. Our courses operate in remote areas where evecuation to medical facilities may take 24 hours or more. Weather conditions can be extreme with temperatures ranging from 0 - 100 degrees. Altitude may reach 14,000 feet. Prolonged heavy rain, high winds, intense sun and/or suddenly high seas are possible. Physical demands on the participant may include carrying a backpack weighing up to 35 pounds over uneven terrain such as boulders, river beds, sharp lava, snow, fallen logs, or slippery surfaces as well as ascending and descending steep mountain slopes. While participating on a Hawaii Outdoors course, participants will sleep outdoors, experience long physically demanding days, set up their own camp and prepare thair own meals. Each participant is expected to take good care of him or herself.

I understand that outdoor activities present to the participant a wide variety of risks, hazards and conditions, not all of them easily foreseeable, which could result in loss, damage, expense, or injury including death. These conditions may include, but are not limited to steep and uneven terrain, changeable weather conditions including heat, cold and wetness, remoteness from normal medical services, evacuation difficulties, darkness, animal and plant life, the use of assorted vehicles including various types of boats, equipment use, and camping and cooking activities. I understand that both I / my dependent and Hawaii Outdoors will approach this Outdoor Education course with both care and planning. While the program is underway, they will endeavor to instruct, protect and care for the well-being of myself / my dependent as would I, including making decisions regarding my or my dependent's medical care. I also understand that they will continue to maintain professional standards of behavior regarding myself or my dependent. I understand that I / my dependent will be expected to uphold the standards of behavior expected of students or chaperones in any school endeavor. I / (S)he will be expected to listen to and honor any request suggestion, advice or rule given by staff of Hawaii Outdoors, or other outside agencies and supervisors on the course, with the understanding that this is in the best interest of all participants. I / (S)he will be expected to asct with responsibility and care for myself/themselves, and for others on the trip. I am aware that there are risks involved in this course and have decided that I am prepared to participate or allow my dependent to participate in both the course, and spoken with my dependent about these risks and expectations, and am confident that they have understood them. I understand them as well. I am now content to proceed with the course. I have read this agreement at my leisure, and have understood its nature and its contents. Please allow me / my dependent to participate in the course.

My or my dependent's participation in such activities may result in injury or illness including, but not limited to bodily injury, sickness, disease, strains, fractures, partial and/or total paralysis, death or other ailments that could cause serious disability; these risks and dangers may be caused by the misjudgments of the directors, employees, officers or agents of Hawaii Outdoors; the misjudgment of the participants, the misjudgment of others, accidents, breaches of contract, the forces of nature or other causes. Risks and dangers may arise from foreseeable or unforeseeable causes including, but not limited to, guide decision making, including that a guide may misjudge terrain, weather, trail or river route locations, and water level, risks of falling out or of drowning while in a sailboat, canoe or kayak and such other risks, hazards and dangers that are integral to recreational activities that take place in a wilderness, outdoor or recreational environment; and by my or my dependent's participation in these activities, I hereby assume all risks and dangers and all responsibility for any losses and/or damages, whether caused in whole or in part by the misjudgment or other conduct of the directors, agents, officers or employees of Hawaii Outdoors, or by any other person.

I, on behalf of myself and my dependent hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify Hawaii Outdoors Institute and its directors, agents, officers and employees from any and all claims, actions or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise. I especially understand that I am releasing, discharging and waiving any claims or actions that I may have presently or in the future for the misjudgment or other conduct by the directors, agents, officers or employees of Hawaii Outdoors Institute.

I HAVE READ THE ABOVE WAIVER AND RELEASE ANY BY SIGNING IT DO AGREE, IT IS MY INTENTION TO EXEMPT AND RELIEVE HAWAII OUTDOORS INSTITUTE AND ITS DIRECTORS, AGENTS, OFFICERS, AND EMPLOYEES FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY MISJUDGMENTS OR ANY OTHER CAUSE. I UNDERSTAND THAT MY USE OF AN E-SIGNATURE IS LEGALLY BINDING.

Parent / Guadian E-Signature*

Date*

Date Format: MM slash DD slash YYYY

Student E-Signature*

Date*

Date Format: MM slash DD slash YYYY

MEDICAL INFORMATION

At Hawaii Outdoors Institute, our student's health and safety are the most important factors of a successful experience. In the event of a serious illness or injury, ery effort will be made to contact the parent or guardian. Please complete this form carefully, thoroughly and accurately. Use extra pages if necessary. Ultimately, it is up to the student and parent, in conjunction with their physician to decide whether a Hawaii Outdoors program is an acceptable match for them.

Program Description

Hawaii Outdoors Institute programs are strenuous outdoor adventures lasting up to 24 days. Our trips operate in remote areas where evacuation to medical facilities may take 24 hours, or more. Weather conditions can be extreme with temperatures ranging from 0-100 degrees. Prolonged heavy rain, high winds, intense sun and / or suddenly high seas are possible.

Physical demands on the student may include carrying a backpack weighing up to 35 pounds over uneven terrain such as boulders, river beds, sharp lava, snow, fallen logs, or slippery surfaces as well as ascending and descending steep mountain slopes. While participating on a Hawaii Outdoors expedition, students will sleep outdoors, experience long physically demanding days, set up their own camp and prepare their own meals. Each student is expected to take good care of him or herself.

***Hawaii Outdoors Institute is NOT a rehabilitation program. It is not the place to quit smoking, drinking, using drugs, or to work through behavioral or psychological problems. Prior physical conditioning and an enthusiastic attitude are a necessity. Students find a Hawaii Outdoors course to be a demanding experience both physically and mentally.

Emergency Contact Info

In case of emergency we'll make every effort to contact the parent or guardian whose info was previously listed. Do you have another emergency contact in case the parent/guardians cannot be reached? Please list below:

Name

PrefixFirstLastSuffix

Relationship to Student:

Phone

Email

Student's Insurance Carrier and Policy / Group Number*

Does the student have any impairment of: (Check all that may apply, or check "None." This is the info a doctor may need, if necessary.)*

Eyes or sight

Ears or hearing

Tonsils, nose, throat

Lungs, respiratory system

Heart, circulatory system

Bones, joints, locomotor system

Stomach or digestive system

Genitourinary system

Other abdominal organs

Brain or nervous system

Blood or endocrine system

None

Please give more details about any checked items above.

Has the student: (check all that may apply, or check "None.")*

Ever been hospitalized?

Ever had surgery?

Had chronic/recurrent illnesses?

Had a recent infectious disease?

Had any recent injury?

Had diabetes?

Had seizures?

Had severe headaches?

Ever been knocked unconscious?

Ever had a head injury?

Had fainting or dizziness?

Fainted/had chest pains during exercise?

Had "Mono" in the past 12 months?

Had problems with periods/menstruation?

Had problems falling asleep/sleepwalking?

Ever had back/joint problems?

Had a history of bed-wetting?

Had problems with diarrhea/constipation?

Had any skin problems?

Had anorexia/bulimia?

None

Please give more details about any checked items above.

Are you allergic to any foods or have dietary restrictions?*

Yes

No

If yes, please give as much detail as possible to help us plan your meals. How severe is the allergy and what are the symptoms? Are you vegetarian, vegan, allergic to gluten, etc? If vegetarian do you eat eggs or fish? What are your preferred food substitutes? And anything else we should know...*

Are you allergic to insect bites or stings?*

Yes

No

If yes, how severe is it? What are the symptoms? Has a doctor prescribed an Epi-Pen? (If so, please bring at least 2 Epi-Pens)*

Any other allergies? If so, how severe? What are the symptoms?

Do you currently have or have a history of Asthma?*

Yes

No

If yes, please give more details. Is it well controlled with an inhaler? (If so, please bring an inhaler.) What triggers an attack? When was the last episode? Have you ever been hospitalized? ***Please note- if SCUBA is included in your course, a doctor will need to approve your PADI scuba medical form.*

The student's swimming ability is:*

Non-swimmer / Beginner

Recreationally proficient

Excellent

Prescription Medications:*

This student does not need any prescription medications while on course.

This student will take the following medication(s) while on course:

Prescription Medication- Please list the medication, reason for taking, when it's taken, and the amount. ***All students required to take prescription medications must be able to do so on their own. Our field instructors will do their best to give reminders, but cannot be responsible for ensuring all students take required medicine.*

The following non-prescription medications may be offered if needed to manage ilness or injury: Ibuprophen (Advil), Acetaminophen (Tylenol), Decongestant (sudafed), Antihistamine (Benadryl), Laxatives (Ex-Lax), Anti-diarrheal (Immodium A-D), Anti-itch creams, Aloe, or Cough Drops. Please list any of these, or other medications the student should NOT be given.*

All are OK to offer, if needed.

The student should NOT be offered the following:

*

Is there anything else we should know about the student that will help us have a successful course?

Authorization E-Signatures Required

I authorize Hawaii Outdoors Institute staff, representatives, contractors, or other medical personnel to obtain or provide medical care for my child, to transport him/her to a medical facility and to provide treatment (including routine or emergency health care, hospitalization, medications, anesthesia, surgery, etc.) they consider necessary for my child's health. I agree to the release of any records necessary for treatment, referral, billing or insurance purposes. Except to the extent limited in this form, the student has permission to participate in all Hawaii Outdoors activities. To the best of my knowledge, this health form contains accurate information. I will contact Hawaii Outdoors if any medical or health condition changes before the start of the course. I understand that providing inaccurate medical or health information or falsifying medical or health information can create serious risks to all participants, and can result in a student's dismissal from the program. I understand the student's ability to participate is contingent upon Hawaii Outdoors' review of all forms, including this one. I understand that although Hawaii Outdoors will review this information and may allow participation, they cannot anticipate or eliminate risks or complications posed by an individual's mental, physical, or emotional condition. I understand that my use of an E-Signature is legally binding.

Parent / Guardian E-Signature*

Date*

Date Format: MM slash DD slash YYYY

Student E-Signature*

Date*

Date Format: MM slash DD slash YYYY

Thank you so much for taking the time to fill out this form. We will do our best to keep your student safe, healthy, and happy!